Year: 2018

How Consuming low-calorie sweeteners may predispose overweight individuals to diabetes

write about sugar substitutes

“Our stem cell-based studies indicate that low-calorie sweeteners promote additional fat accumulation within cells compared with cells not exposed to these substances, in a dose-dependent fashion–meaning that as the dose of sucralose is increased more cells showed increased fat droplet accumulation,”… “This most likely occurs by increasing glucose entry into cells through increased activity of genes called glucose transporters.”

Read the article: Consuming low-calorie sweeteners may predispose overweight individuals to diabetes

Citrate vs. Carbonate after Bariatric Surgery

write about bariatric surgery

This is an excerpt from one of the listserves and an interesting topic for someone to write about:

Question about calcium…
In reading the article American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients, I noticed that it does not specify between calcium carbonate and calcium citrate. It states “Calcium carbonate should be taken with meals. Calcium citrate may be taken with or without meals” But when I look at vitamins available and read protocols for other bariatric sites, it always emphasizes calcium citrate. I am new to bariatric needs, is this new/changing information? Are there any programs who recommend calcium carbonate as long as it’s with meals? Is there a difference if it’s a sleeve or a GB?

“A Yogurt A Day…?” – CMHC PULSE

A new study in the American Journal of Hypertension suggests that higher yogurt intake is associated with lower cardiovascular disease risk among hypertensive men and women. High blood pressure is one of the primary risk factors for cardiovascular disease; while clinical trials have previously demonstrated the beneficial effects of dairy consumption on cardiovascular health, yogurt […]

This article is offered by the Cardiometabolic Health Congress: “A Yogurt A Day…?” 

CoQ10 reduces CVD risk factors

Takeaway

  • Coenzyme Q10 (CoQ10) is a potential candidate for the primary prevention of cardiovascular disease (CVD).

Why this matters

  • CoQ10 has shown promise as an adjuvant therapy in metabolic disease but has not been well studied as a primary preventive agent in CVD.

Check this out from Unidavis.

Gut bacteria & obesity

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Add “metabolism” to the laundry list of things your microbiome can affect.

Source: Gut bacteria might be tied to obesity


Planning And Writing Your Article- With 1 Free CEU!

Although all dietitians are well-versed in academic writing, it can be a challenge to organize our vast knowledge in a way that hits the right chord for readers on the web. Before you sit down to write your epic article, save yourself some time by investing an hour in learning the basics of a solid writing process that can help you create your very best work.

We’ve scoured the internet for the best practices on writing and distilled the information to meet the needs of NutriScape writers. In our 1-hour CEU presentation, “Copywriting Skills for the Internet”, we discuss a structured process for each phase of writing and cover critical SEO principles that are key to getting articles found on Google.

This writer’s guide is a resource that will be sure to help as you organize your thoughts:

New Weight Loss Procedure Freezes Hunger Nerves to Brain

write about surgery for weight loss

DOCTORS CONDUCTING A new weight loss study used gas to freeze a nerve in the back that carries hunger signals to the brain, lowering patients’ appetite and promoting weight loss…

In the study, the men and women were sedated and doctors inserted a needle into their backs guided by a CT scan. They directed the needle to a specific nerve, the posterior vagal trunk, and froze the needle and surrounding nerve. The procedure degenerates part of the nerve connected to the brain and stops the connection between the two. The procedure takes about 30 minutes and is painless.

One hundred percent of the subjects reported a decrease in appetite. After 90 days, the average weight loss was 3.6 percent of initial body weight and the average loss of excess BMI was 14 percent.

US News and World Report


Planning And Writing Your Article- With 1 Free CEU!

Although all dietitians are well-versed in academic writing, it can be a challenge to organize our vast knowledge in a way that hits the right chord for readers on the web. Before you sit down to write your epic article, save yourself some time by investing an hour in learning the basics of a solid writing process that can help you create your very best work.

We’ve scoured the internet for the best practices on writing and distilled the information to meet the needs of NutriScape writers. In our 1-hour CEU presentation, “Copywriting Skills for the Internet”, we discuss a structured process for each phase of writing and cover critical SEO principles that are key to getting articles found on Google.

This writer’s guide is a resource that will be sure to help as you organize your thoughts:

How Does Intermittent Fasting Work, and Why is it Beneficial for Diabetes?

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Dr. Mark Mattson intermittent fasting exclusive interview: Dr. Mattson defines intermittent fasting and discusses the positive effects of intermittent fasting, especially for people with diabetes.

Source: Dr. Mark Mattson Intermittent Fasting Exclusive Interview: What is Intermittent Fasting, How Does Intermittent Fasting Work, and Why is it Beneficial for Diabetes?

The “Other” Eating Disorders

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The Diagnostic & Statistical Manual (DSM-V) currently lists the following five clinical examples of OSFED [Other Specified Feeding and Eating Disorders].

  1. Atypical anorexia nervosa: All criteria for anorexia nervosa are met; despite significant weight loss, the individual’s weight is within or above the normal range
  2. Bulimia nervosa of low frequency and/or limited duration
  3. Binge eating disorder of low frequency and/or limited duration
  4. Purging disorder
  5. Night Eating Syndrome

It’s important to note that this list in not exhaustive, and there are other situations and variations of symptoms that would also warrant an OSFED diagnosis or the alternative, Unspecified Feeding or Eating Disorder.

Source:Other Specified Feeding and Eating Disorders (OSFED)

ICD-10 Coding For Eating Disorders:
Codes
F50 Eating disorders
F50.0 Anorexia nervosa
F50.00 …… unspecified
F50.01 …… restricting type
F50.02 …… binge eating/purging type
F50.2 Bulimia nervosa
F50.8 Other eating disorders
F50.81 Binge eating disorder
F50.82 Avoidant/restrictive food intake disorder
F50.89 Other specified eating disorder
F50.9 Eating disorder, unspecified

This is why nutritional psychiatry is the future of mental health treatment

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A lack of essential nutrients is known to contribute to the onset of poor mental health in people suffering from anxiety and depression, bipolar disorder, schizophrenia and ADHD. Nutritional psychiatry is a growing discipline that focuses on the use of food and supplements to provide these essential nutrients as part of an integrated or alternative treatment for mental health disorders.

Source: This is why nutritional psychiatry is the future of mental health treatment

Eating Disorders Do Not Equal Thinness

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The body positive community’s emphasis on health, self-care, and a balanced approach to eating and living has offered a stark contrast to the imagery we’re used to. Users are encouraged to work out because it feels good, to eat because it fuels them, and to love the fruit of their genetics, regardless of whether their appearance falls neatly within historical western standards of beauty.

Source: Eating Disorders Do Not Equal Thinness 

New Guidelines on Hirsutism

The Endocrine Society has released clinical practice guidelines for evaluation and treatment of hirsutism in premenopausal women

Key recommendations

  • Testing for elevated androgen levels is suggested for women with moderate/severe hirsutism or sudden-onset, rapidly progressive, or abnormality-associated hirsutism.
  • Pharmacological therapy or direct hair removal methods are suggested for women with patient-important hirsutism despite cosmetic measures.
  • For pharmacological therapy, oral contraceptives are suggested for the majority of women, with added antiandrogen after 6 months if the response is suboptimal.
  • Antiandrogen monotherapy is recommended unless adequate contraception is used.
  • Insulin-lowering drugs are not suggested.
  • Laser/photoepilation is suggested for women who choose hair removal therapy.

The first update since 2008.Guidelines

 

Coffee and Metabolic Syndrome in Type 1 Diabetes

write about type 1 diabetes

A study in Nutrition, Metabolism & Cardiovascular Diseases revealed that type 1 diabetes patients who drank three to four cups of coffee daily had a 1.8-fold increased metabolic syndrome risk, while those who drank five or more cups per day had a 2.1-fold increased risk, compared with non-coffee drinkers. Finnish researchers used a cohort of 1,040 diabetes patients and also found that those who drank one or more cups of coffee daily had up to a 2.8-fold higher risk of developing hypertension.

Read the MedScape Article

A Review of HAES: What Does the Research Say

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Abstract
Current guidelines recommend that “overweight” and “obese” individuals lose weight through engaging in lifestyle
modification involving diet, exercise and other behavior change. This approach reliably induces short term weight
loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the
putative benefits of improved morbidity and mortality. Concern has arisen that this weight focus is not only
ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to
food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health
goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight
stigmatization and discrimination. This concern has drawn increased attention to the ethical implications of
recommending treatment that may be ineffective or damaging. A growing trans-disciplinary movement called
Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a
shift in focus to weight-neutral outcomes. Randomized controlled clinical trials indicate that a HAES approach is
associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure,
blood lipids), health behaviors (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as
self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss
treatment and without the contraindications associated with a weight focus. This paper evaluates the evidence
and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.

Link to the Article: Weight Science: Evaluating the Evidence for a Paradigm Shift

Unpacking the Research: What We Have Learned About the Thin Ideal

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Intentional weight loss is a funny concept that often needs to be unpacked to make sense. When a person sets out to “lose weight” as the primary intention, there is often no regard to how this goal will be accomplished. This means, weight loss, at any cost, is the measure of success.

Source: Unpacking the Research: What We Have Learned About the Thin Ideal | Megrette.com

Why Do Bad Things Happen When You Diet? 

write about diets

When a person is not present in the here-and-now, they are no longer able to make a choice. When a person is thinking about what life will be like when they are “x” pounds smaller, they are not in their body as it is now. This future focus is like living in a state of suspended animation, because life begins at “x.” Living in either the future or the past is similar to a mental prison, with no hope of parole or escape.

Source: Why Do Bad Things Happen? | Megrette.com

That Little Pause May Be Telling You Something 

write about intuitive eating

Mindfulness practice, which is the little pause to consider a variety of different views and opinions, can help you acknowledge all humans are in a state of conflict or ambivalence. This conflict is how to balance knowledge with compassion.  Knowledge without compassion can make you a know-it-all and compassion without knowledge can allow others to […]

Source: That Little Pause May Be Telling You Something | Megrette.com

The Road to Self-care Isn’t Straight!

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In the book, Core Concepts of Mindful Eating: Professional Edition, I created a tool called The Mindful Eating Map.  The Mindful Eating Map is a guide to help you bring compassionate self-care into your life. Here are the five steps. Step 1 Stretch your ability to engage in non-judgmental observation of the current situation. The […]

Source: The Road to Self-care Isn’t Straight! | Megrette.com

Letting Your Feelings Guide You

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Creating a practice requires you to return, over and over again to the present moment. Unfortunately, many people are highly skilled at being self-critical.  They don’t want to return to the thing that is hard, or that they feel inadequate at. This internal judgment and dread can be so habitual a person is almost deaf to the snarky, biting comments swirling around in their mind. The following activity can guide you in creating a practice that meets your needs.

Source: Letting Your Feelings Guide You | Megrette.com